Clinical Care RN: Transitions & Quality Outcomes

Humana Inc; United States; Vor Ort; USD 71.000 - 98.000; Vollzeit

Zusammenfassung

Humana Inc. is seeking a Clinical Care Nurse (RN) for clinic-based care to improve patient outcomes, especially during transitions of care.

You will analyze data, coordinate post-discharge follow-up, and educate patients on preventive care and chronic disease management within a collaborative team. Responsibilities include outreach, documentation, and participation in quality improvement initiatives to support Stars ratings and CMS guidelines.

Qualifikationen

• Must have ADN or BSN.
• Active, unrestricted RN license in the State of South Carolina.
• 3+ years' clinical nursing experience with exposure to transitions of care, quality improvement, managed care, or population health management.
• Proficiency with electronic health records (e.g., Athena EMR), data analytics tools (e.g., DataHub, Compass Rose, Salesforce HealthCloud), and Microsoft Office Suite.
• Willing and able to complete and maintain Basic Life Support training.

Aufgaben

• Analyze clinical data and trends to identify gaps related to Stars and HEDIS measures and Transitions of Care.
• Coordinate timely post-discharge follow-up for recently discharged patients.
• Conduct outreach via phone, telehealth and in-clinic visits to close care opportunities and educate on preventive care and chronic disease management.
• Document outreach efforts and outcomes accurately in CMS-compliant systems.
• Collaborate with interdisciplinary teams to implement evidence-based interventions and optimize workflows.

Kenntnisse

Nursing

Data analysis

Communication

Motivational interviewing

Ausbildung

ADN or BSN

Tools

Athena EMR

DataHub

Salesforce HealthCloud

Compass Rose

Microsoft Office

Jobbeschreibung

Humana Inc. is seeking a Clinical Care Nurse (RN) for clinic-based care to improve patient outcomes, especially during transitions of care.

You will analyze data, coordinate post-discharge follow-up, and educate patients on preventive care and chronic disease management within a collaborative team. Responsibilities include outreach, documentation, and participation in quality improvement initiatives to support Stars ratings and CMS guidelines.